Provider Demographics
NPI:1699851246
Name:COTTA, NANCY J (MC, LPC)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:J
Last Name:COTTA
Suffix:
Gender:F
Credentials:MC, LPC
Other - Prefix:MRS
Other - First Name:NANCY
Other - Middle Name:J
Other - Last Name:SIMCOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7777 E MAIN ST UNIT 106
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-4643
Mailing Address - Country:US
Mailing Address - Phone:480-966-4230
Mailing Address - Fax:
Practice Address - Street 1:7777 E MAIN ST UNIT 106
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-4643
Practice Address - Country:US
Practice Address - Phone:480-966-4230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-11591101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health